Referral well made

It is quite common to see public healthcare facilities being given regular bashing in the media and our regular conversations. 

However, yesterday, I had a very encouraging experience when one patient was referred to us at the opportune time before she went into a complication. 

Although the indication for referral was a bit different, I was impressed that the person who wrote this referral letter timely identified that the patient needs to be referred. 

The staff at this PHC had diagnosed obstructed labour. However, on examination, we found out that there was third degree cephalopelvic disproportion although it had not into the stage of an obstructed labour. The delivery would have become badly obstructed if the delivery was allowed to progress. 

Please join me in acknowledging and applauding this unknown staff in a remote Primary Health Centre of Palamu district. 

Photo Post - 12 July 2012

Few interesting snaps from happening at NJH and around . . .

Ingenious way to keep the door closed . . .

Anybody has idea on what all those abbreviations stand for . . . and Poly Pathy World Organisation . . . 

Was found in the stomach of a lady who came with a krait bite. Similar 4 pieces  also came out during vomiting. It seems such things are given to patients during witch-craft especially after snake bite or seizures. . . This is a twig of some plant . . . We ended up treating her for the irritation caused by these pieces of vegetation rather than the envenomation which was easier to manage. . . 

Viper bite - Gangrene due to local envenomation. The patient had come within one hour of the bite. . .
We had to do some amount of debridement. We would need to do a skin graft sometime later. . . 

A very large fibroid which we diagnosed accidently . . . Weighed 2 kilograms . . .